| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $92.07 | $110.56 | $138.74 | |
Cigna
| Professional | $99.83 | $120.00 | $160.90 | |
HMSA
| Professional | $148.72 | $155.74 | $179.10 | |
Kaiser Permanente
| Professional | $96.38 | $132.11 | $149.93 | |
United
| Professional | $114.29 | $126.32 | $209.30 | |
University Health Alliance
| Professional | $94.72 | $106.48 | $144.06 |